Field Of The Invention
[0001] The present invention relates generally to the field of clinical chemistry. More
particularly, the present invention relates to a lithium reagent composition and method
for determining lithium present in a biological specimen.
Background Of The Invention
[0002] The quantitative determination of lithium in clinical samples is currently typically
performed by flame photometry or by ion selective electrodes (ISE). While use of a
flame photometer for monitoring lithium levels is rather costly and cumbersome, the
ISE method suffers mainly from interferences from sodium and other ions present in
biological fluids.
[0003] A number of attempts have been made to design a colorimetric lithium assay based
on lithium selective chromoionophores (Pacey et al,
Synth. Commun. 11, 1981, 323-328; Kaneda et al.,
Tetrahedron Letters 22, 1981, 4407-4408; Ogawa et al.,
J. Amer. Chem. 106, 1984, 5760-5762; Sasaki et al.,
Anal. Chim. Acta. 174, 1985, 141-149; Misumi et al.,
J. Amer. Chem. Soc. 107, 1985, 4802-4803; Kimura et al.,
J. Org. Chem. 52, 1987, 836-844; Attiyat et al., 37, 1988, 114-121; Cram et al.,
J. Amer. Chem. Soc. 110, 1988, 571-577).
[0004] The various lithium selective compounds described in the prior art cited above lack
adequate lithium binding in aqueous media and require extraction-photometric procedures
that are difficult to automate. The relatively low level of lithium in serum (0.5-1.5
mM) imposes very high constraints on selectivity over the high normal serum sodium
concentration (135-150 mM). Ideally, the selectivity for lithium over sodium should
be 1,500:1 in order to essentially eliminate any sodium interference.
[0005] The first practical colorimetric lithium assay, which uses a chromogenic cryptand
ionophore was described by Chapoteau et al. in
Clin. Chem. 38, 1992, 1654-1657 and Czech et al. in U.S. Patent No. 5,187,103. Recently, Sutherland
et al. reported in
J. Chem. Soc. Chem. Commun. 1992 1716-1718 a new chromogenic cryptand for the determination of lithium in an
extraction system and its potential application in optical fiber sensors.
Summary Of The Invention
[0006] The present invention is directed toward a reagent composition and process for the
colorimetric determination of lithium in aqueous clinical samples. The reagent composition
is based on the chromogenic cryptand I.

Unlike the chromogenic cryptand described by Chapoteau and Czech, chromoionophore
I, as disclosed by Sutherland et al., is not totally selective for lithium over sodium.
[0007] According to the present invention a sodium salt at a concentration less than 2 x
10⁻² M; a base to maintain the pH at 12 or higher; a water-miscible organic solvent
at a concentration less than 10% volume to volume; and a non-ionic surfactant at a
concentration less than 10% weight to volume are added to the chromoionophore I to
form the reagent composition. As an alternative to the addition of base a buffer can
be added to adjust the pH to about 11. When this is done the presence of sodium salt
is optional.
Description Of The Preferred Embodiments
[0008] The following definitions are provided to clarify the scope of the present invention,
and to enable formulation of the reagent composition and use thereof. As used herein,
"chromogenic" is intended as meaning that characteristic of a chemical system whereby
a detectable response is generated in response to an external stimulus. Thus, for
example, an ionophore is chromogenic when it is capable of exhibiting a detectable
response upon complexing with an ion, which detectable response is not limited solely
to change in color as defined below.
[0009] The expression "detectable response" means a change in or appearance of a property
in a system which is capable of being perceived, either by direct observation or instrumentally,
and which is a function of the presence of a specific ion in an aqueous test sample.
Some examples of detectable responses are the changes in or appearance of color, fluorescence,
phosphorescence, reflectance, chemiluminescence, or infrared spectrum. These are referred
to generally as chromogenic responses. Other examples of detectable responses are
changes in electrochemical properties, pH and nuclear magnetic resonance.
[0010] In addition to the chromoionophore I, a sodium salt is normally required at a concentration
less than 2 x 10⁻² M. The sodium salt normalizes sodium interference. Suitable sodium
salts includes sodium chloride, sodium bromide, sodium acetate and sodium bicarbonate.
The preferred sodium salt is sodium chloride.
[0011] The water-miscible organic solvent should be present at a concentration less than
10% volume to volume. The preferred concentration of water-miscible organic solvent
is 1% volume to volume. Suitable organic solvents include cyclic ethers such as dioxane
and tetrahydrofuran; ethylene glycol derivatives such as monoethyl diethylene glycol,
monoethyl diethylene glycol, monopropyl diethylene glycol, monobutyl diethylene glycol;
amides such as formamide, dimethylformamide, pyrrolidine, N-alkyl pyrrolidine (methyl);
aliphatic alcohols such as methanol, ethanol, propanols and butanols; sulfoxides such
as dimethylsulfoxide; amino alcohols such as ethanolamine, propanolamine, amino propanediols;
and ketones such as acetone, and methylethylketone. A particularly preferred water-miscible
organic solvent is diethylene glycol monoethyl ether (DEGMEE).
[0012] The reagent composition also includes a strong base to maintain a pH environment
of at least 12. Suitable bases include potassium hydroxide, rubidium hydroxide, cesium
hydroxide, tetramethylammonium hydroxide and tetraethylammonium hydroxide. A preferred
base is potassium hydroxide.
[0013] The lithium assay can also be run in sodium hydroxide but the concentration of the
base must be low enough (0.05-0.10 M) to allow measurement of lithium. Alternatively,
the lithium assay can be performed under conditions where the pH is strictly controlled
to minimize the sodium response without the addition of a sodium compound. Thus, an
appropriate buffer to maintain pH between 11.1 and 11.3 is incorporated into the reagent.
Suitable buffers include cyclohexylaminopropanesulfonic acid (CAPS), arginine and
γ-aminobutyric acid.
[0014] The reagent composition can also include a nonionic surfactant to solubilize and
stabilize the lithium complex being formed. Normally, the nonionic surfactant is present
in a concentration of less than 10% on a weight to volume basis. Suitable surfactants
include nonionic surfactants such as Brij-35 [polyoxyethylene (23) lauryl ether; ICI]
and Triton X-100 [t-octylphenoxypolyethoxyethanol; Sigma Chemical Co.].
[0015] In addition, the reagent composition can contain manufacturing excipients and other
inert ingredients, all of which are easily within the knowledge of one skilled in
the art, or which could be routinely determined without the need for undue experimentation.
The reagent composition can be in a liquid form when used, or can be impregnated into
a suitable carrier matrix to form a test device. The test device can take on such
formats as a dip-and-read strip for urine or a test slide for use with an automatic
blood analyzer, or can form a multilayer structure such as described in U.S. Patent
Nos. 3,992,158 and 4,292,272.
[0016] The carrier matrix is preferably filter paper. Other materials useful as an absorbent
carrier include felt, porous ceramic strips, woven matted glass fibers (described
in U.S. Patent No. 3,846,247). Also suggested as suitable absorbent carriers of test
strips are materials such as wood, cloth, sponge materials and argillaceous substances
(as described in U.S. Patent No. 3,552,928).
[0017] The new colorimetric reagent composition and method described in this application
can be applied in clinical diagnostics for a rapid, easy-to-perform, accurate quantitation
of lithium in biological fluids. Due to the simplicity and convenience of its use
the colorimetric method is superior to the current methods, i.e., flame photometry
and ion-selective electrodes. It is believed that in a short time the colorimetric
lithium assay will replace the currently used methods.
[0018] It was known from the prior art (Czech et al., U.S. Patent No. 5,187,103) that the
high lithium over sodium selectivity is required for a chromoionophore to be useful
in the lithium assay. Since chromoionophore I, which was primarily designed for use
in optical fiber sensors, binds both lithium and sodium in homogenous aqueous solutions,
thus lacking adequate lithium selectivity, it was unobvious to apply it to a colorimetric
reagent used to assay lithium.
EXAMPLES
[0019] The following examples set forth various aspects of the subject invention. It will
be understood that the formulations which follow are provided for the purposes of
illustration only and that other ingredients, proportions and procedures can be employed
in accordance with the disclosure of this invention.
Example 1
[0020] A reagent composition was prepared by predissolving 2.5 mg of chromoionophore I with
1.0 mL (milliliter) diethylene glycol monoethyl ether (DEGMEE) and adding the solution
to 100 mL of 1M TMAOH (tetramethylammonium hydroxide).
[0021] 2.0 mL of the reagent composition was mixed at room temperature with 0.04 mL of sample
in a cuvette which was placed in a Cary 3 spectrophotometer where absorbances were
read at various wavelengths. The first sample was an aqueous lithium chloride solution
and the second sample an aqueous sodium chloride solution.
Lithium response |
[Li⁺]x10⁻³ M |
A₅₀₀ |
A₆₀₀ |
0.0 |
0.687 |
1.420 |
0.5 |
0.888 |
1.077 |
1.0 |
1.098 |
0.735 |
3.0 |
1.390 |
0.201 |
Sodium response |
[Na⁺]x10⁻¹ M |
A₅₀₀ |
A₆₀₀ |
0.0 |
0.687 |
1.420 |
100 |
1.051 |
1.133 |
120 |
1.061 |
1.131 |
160 |
1.067 |
1.118 |
This example demonstrates that under the above described conditions the chromoionophore
responds to both lithium and sodium and the reagent cannot be used for determining
lithium in clinical samples which contain sodium.
Example 2
[0022] A reagent composition was prepared by dissolving 2.5 mg of chromoionophore I in 1.0
mL of DEGMEE and adding the solution to 100 mL of 1 M TMAOH containing 0.23 g (grams)
of sodium chloride.
[0023] 2.0 mL of the reagent composition was mixed at room temperature with 0.04 mL sample
in a cuvette and the absorbances were read as in Example 1.
Lithium response |
[Li⁺]x10⁻³ M |
A₅₀₀ |
A₆₀₀ |
0.0 |
1.144 |
1.259 |
0.5 |
1.218 |
0.963 |
1.0 |
1.294 |
0.705 |
3.0 |
1.487 |
0.264 |
Under the conditions of this example the reaction mixture became hazy after 2 minutes
indicating the need for surfactant.
Example 3
[0024] A reagent composition was prepared by predissolving 2.5 mg of chromoionophore I in
1.0 mL of DEGMEE and adding the solution to 100 mL of 1 M TMAOH containing 1.0 g of
Triton X-100 (t-oxtylphenoxypolyethoxyethanol) and 0.23 g of sodium chloride.
[0025] 2.0 mL of the reagent composition was the mixed at room temperature with 0.03 mL
of sample in a cuvette and absorbances were read on a spectrophotometer as in Example
1
Lithium response |
[Li⁺]x10⁻³ M |
A₅₀₀ |
A₆₀₀ |
0.0 |
0.914 |
1.330 |
0.5 |
1.016 |
1.115 |
1.0 |
1.096 |
0.888 |
2.0 |
1.282 |
0.475 |
3.0 |
1.391 |
0.254 |
Sodium response |
[Na⁺]x10⁻³ M |
A₅₀₀ |
A₆₀₀ |
0.0 |
0.914 |
1.330 |
100 |
0.917 |
1.322 |
140 |
0.922 |
1.329 |
180 |
0.918 |
1.316 |
Under the above conditions the sodium response is insignificant, thus the measurement
of lithium can be performed.
Example 4
[0026] A reagent composition was prepared by predissolving 2.5 mg of chromoionophore I in
1 mL of DEGMEE and adding the solution to 100 mL of 1 M KOH containing 1 g of Triton
X-100 and 0.23 g of sodium chloride.
[0027] 2.0 mL of the reagent composition was mixed at room temperature with 0.02 mL of sample
and the lithium response was measured with this preferred working reagent composition
as in Example 1.
Lithium response |
[Li⁺]x10⁻³ M |
A₅₀₀ |
A₆₀₀ |
0.0 |
1.035 |
1.579 |
0.5 |
1.099 |
1.433 |
1.0 |
1.171 |
1.295 |
2.0 |
1.305 |
1.011 |
3.0 |
1.442 |
0.721 |
4.0 |
1.586 |
0.429 |
[0028] Examination of this data shows that the above reagent composition is suitable for
the measurement of lithium in serum.
[0029] Obviously, many modifications and variations of the invention as herein before set
forth can be made without departing from the spirit and scope thereof and therefore
only such limitations should be imposed as are indicated by the appended claims.